Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA COONTZ
ActiveOncology Nutrition · TRUMBULL, CT
Registration Details
- NPI Number
- 1780433730
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 14, 2024 (1.9400834803863 yrs)
- Last Updated
- May 14, 2024
Practice Information
- Address
-
5520 PARK AVETRUMBULL, CT, 066113463Browse CT providers · Browse ZIP 06611
- Phone
- 2036663574
- Primary Specialty
-
Oncology Nutrition
133VN1301X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.